NPI | 1417017104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TX H9446) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX H9446) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2025-10-07 |